Individual provider · Type 1 NPI

Allen Bruce Jetmore, MD

Specialist · Leawood, KS

NPI number 1093725111 Active

Practice location

11111 Nall Ave, Suite 116
Leawood, KS 66211-1924

Fax (913) 451-0601

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X0424436 (KS)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1093725111

Allen Bruce Jetmore, MD's National Provider Identifier is 1093725111, issued on Aug 9, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Leawood, KS. The record was last updated on Aug 29, 2011.